Table 3 List of items included, per domain

Knowledge and awareness of rights

38

A healthcare provider can refuse to provide me family planning services because of who I am.

39

The government ensures that family planning services are free of cost (Tanzania) or The government ensures that family planning methods are free of cost (Ghana)

40

I have the right to privacy during my family planning visit.^a

41

The healthcare provider should not share my information with other people.

42

If I am unhappy with the care I received, I know there are ways to make a complaint.^a

43

Healthcare providers must answer all my health-related questions.^a

44

Healthcare providers should inform me about the different family planning options^a

45

I can refuse any family planning method offered if I do not want to use it.^a

Women’s participation in household decision- making

46

First, would you tell me which member of your household usually makes decisions about your health care? ^a

47

Which member of your household usually makes decisions about making large household purchases? ^a

48

Which member of your household usually makes decisions about making household purchases for daily needs?^a

49

Which member of your household usually makes decisions about when you will visit family/relatives/friends?^a

50

Which member of your household usually makes decisions about when your whole household will visit family/relatives/friends?^a

51

Which member of your household usually makes decisions about how to use the money that you bring into the household?^a

52

Which member of your household usually makes decisions about how to use the money your husband/partner brings into the household?^a

53

Which member of your household usually makes decisions about whether you or you and your husband/partner use family planning?^a

54

Which member of your household usually makes decisions about where you will receive family planning?^a

55

Which member of your household usually makes decisions about if you will be tested for the AIDS virus? ^a

56

Which member of your household usually makes decisions about how many children you will have? ^a

Self-efficacy with health care providers A

57

After your consultation with the health care provider today, do you know what your reproductive and family planning options are? ^a

58

After your consultation with the health care provider today, do you feel that you can act on your choice for family planning? ^a

59

Do you know what help you need to make a decision? ^a

Self-efficacy with health care providers B

65

I felt like I could discuss my problems, question and concerns with the health care provider without feeling embarrassed.

66

One of the providers or staff refused to offer me the service I wanted to receive. (reverse-coded)^a

67

The provider ignored my request or my preferences today.^a

68

I felt like the provider did not listen to what I was saying (reverse-coded)^a

69

A provider strongly encouraged me to use one family planning that was different to the one I wanted (reverse-coded)^a

70

I have the right to choose my family planning method.

Self-efficacy for participation at community meetings

71

How sure are you that you could attend a community meeting if your family did not support you to participate?^a

72

How sure are you that you could attend a community meeting if your family said you could not go? ^a

73

How sure are you that you could attend a community meeting if your family would not help with your household duties so that you could attend? ^a

74

How sure are you that you could express your opinion at a community meeting? ^a

75

How sure are you that you could express your opinion at a community meeting if a few people did not agree with what you were saying? ^a

76

How sure are you that you could express your opinion at a community meeting if many people did not agree with what you were saying? ^a

Perception of service quality

77

The staff at this health facility have high quality family planning services ^a

78

The staff at this health facility ensures privacy and confidentiality when providing services. ^a

79

The health facility is clean. ^a

80

At this health facility, if women choose, they can bring their husband/partner for the family planning consultation. ^a

81

At this health facility, if women choose, they can bring a family member or friend for the family planning consultation. ^a

82

Unmarried women can access family planning and reproductive health service at the health facility.

Political capabilities

83

Today, if I went to the clinic, I believe I could get family planning I wanted without facing any barriers of cost, age and marital status.

84

Anyone outside of the clinic, like friends or community members, can help you access your right to quality family planning services.

85

Health providers and district government officials can directly influence the quality of your local family planning services? ^a

86

Challenging people of influence is the best way to change family planning services in the clinic. ^a

87

Collaboration with people of influence is the best way to change family planning services in the clinic. ^a

Collective efficacy

88

How sure are you that the people in your community could work together to improve family planning services in this community? ^a

89

How sure are you that the people in your community could work together to improve how women are treated at the health facility? ^a

90

How sure are you that the people in your community could work together to obtain government services and entitlements? ^a

91

How sure are you that the people in your community could work together to improve the health and well- being of women in this community? ^a

Community support in time of crisis

92

How sure are you that there is someone in your community, apart from your immediate family, who you could go to for advice? ^a

93

How sure are you that there is someone in your community, apart from your immediate family, who could take you to the clinic? ^a

94

How sure are you that there is someone in your community, apart from your immediate family, who would help care for your children or household while you are away? ^a

95

How sure are you that there is someone in your community, apart from your immediate family, who would loan you money for transport? ^a

Mutual responsibility for and support of services

99

Who could have the most impact on making sure that women are treated with respect by health workers? ^a

100

Who could have the most impact on making sure that women have transportation to the hospital for permanent methods of contraception? ^a

101

Who could have the most impact on increasing the number of days a health worker visits your community? ^a

102

Who could have the most impact on making sure the poorest and most vulnerable women in the community receive care? ^a

103

Who could have the most impact on getting funding to improve health services in this community? ^a